2023/24 Seasonal Influenza Vaccination (SIV) School Outreach (Free of Charge) Programme - Frequently Used Forms for Participating Schools

2023-09-06

Stage	Code	Document title
Selection of Doctor/ Medical Organisation		Form B - For Kindergarten/Child Care Centre - For Primary School - For Secondary School
Before vaccination	SIVSO_S_A1(KG) SIVSO_S_A1(PS) SIVSO_S_A1(SS)	The Number of Students Consented to Vaccination of Each Class - For KG/ CCC - For Primary School - For Secondary School
	SIVSO_S_A2	Notice to Parents One Week before the First Dose of Vaccination Day -Sample For Primary School & KG/CCC -Sample For Secondary School
	SIVSO_S_A3	Notice to Parents One Week before the Second Dose of Vaccination Day (Sample)
	SIVSO_S_A4 SIVSO_S_A4(LAIV) SIVSO_S_A4_Sec	Seasonal Influenza Vaccine Consent Form (For KG/CCC and Primary School) - Injectable Vaccine - Nasal Spray Vaccine -Seasonal Influenza Vaccine Consent Form (For Secondary School)
	SIVSO_S_A4 SIVSO_S_A4(LAIV) SIVSO_S_A4_Sec	Consent Form Sample - Injectable Vaccine - Nasal Spray Vaccine -Seasonal Influenza Vaccine Consent Form (For Secondary School)
	SIVSO_D_A2	Consent Forms Receipt Note
During vaccination	SIVSO_S_B1	List of Students Withheld Seasonal Influenza Vaccination
After Vaccination	SIVSO_D_C2 SIVSO_D_C2(LAIV)	Seasonal Influenza Vaccine Information on Side Effects - Injectable Vaccine - Nasal Spray Vaccine
	SIVSO_D_C2(2^nd) SIVSO_D_C2(LAIV)(2^nd)	Seasonal Influenza Vaccine Information on Side Effects and 2^nd Dose Arrangement - Injectable Vaccine - Nasal Spray Vaccine
	SIVSO_S_C1	Student Vaccination Report (on Vaccination Day)
	SIVSO_D_C4	Seasonal Influenza Vaccination Card
	SIVSO_D_B2	Clinical Waste Temporary Storage Handover Note (Chinese version only)